Provider Demographics
NPI:1730479676
Name:HUEBNER, STEPHEN BRADLEY (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:BRADLEY
Last Name:HUEBNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2450 W HUNTING PARK AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19129-1302
Mailing Address - Country:US
Mailing Address - Phone:484-532-7447
Mailing Address - Fax:
Practice Address - Street 1:RADIOLOGY DEPARTMENT, DRUMMOND HALL, 1ST FLOOR
Practice Address - Street 2:3901 RUTGER STREET
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:314-977-5782
Practice Address - Fax:314-977-1628
Is Sole Proprietor?:No
Enumeration Date:2011-04-12
Last Update Date:2021-04-20
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Provider Licenses
StateLicense IDTaxonomies
PAMD4423652085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology